Reaction

Question 1

Primary mediator of type 1 hypersensitivity reaction is

Answer 1

Immunoglobin E (IgE)

Question 2

Allergy Type 1

• damaging effects of hypersensitivity to outside antigens
• most common allergies are type 1
• atopic genetic predisposed

Answer 2

damaging effects of hypersensitivity to outside antigens
most common allergies are type 1
atopic genetic predisposed

Question 3

which of these are Type 1 common allergies

• pollen
• mold
• fungi
• foods
• animals
• dust
• everything we encounter in our environment

Answer 3

pollen
mold
fungi
foods
animals
dust
everything we encounter in our environment

Question 4

S/S of allergy

Answer 4

watery, runny eyes
runny nose
sneezing
nasal congestion
itchy rash or hives

Question 5

Anaphylaxis is what

• immediate type 1 hypersensitivity
• rapid onset of IgE mediated chemicals
• induces severe life-threatening allergic reaction

Answer 5

immediate type 1 hypersensitivity
rapid onset of IgE mediated chemicals
induces severe life threatening allergic

Question 6

Common causes of Anaphylaxis

Answer 6

food
drug
insect bites

Question 7

Anaphylaxis S/S: Lungs

• trouble breathing or noisy breathing
• coughing, wheezing
• sneezing
• congestion
• tightness of lungs
• hoarseness

Answer 7

trouble breathing or noisy breathing
coughing, wheezing
sneezing
congestion
tightness of lungs
hoarseness

Question 8

Anaphylaxis S/S: Lungs

• trouble breathing or noisy breathing
• coughing, wheezing
• sneezing
• congestion
• tightness of lungs
• hoarseness

Answer 8

trouble breathing or noisy breathing
coughing, wheezing
sneezing
congestion
tightness of lungs
hoarseness

Question 9

Anaphylaxis S/S: Skin

• pale or flushed
• hives or welts
• itchy skin
• sweating

Answer 9

pale or flushed
hives or welts
itchy skin
sweating

Question 10

Anaphylaxis S/S: Heart and blood vessels

• chest pain
• low BP
• weak rapid pulse
• dizziness, fainting

Answer 10

chest pain
low BP causing weak, rapid pulse
dizziness, fainting

Question 11

Anaphylaxis S/S: Mouth

• swelling of throat, face, lips, or tongue

Answer 11

swelling of throat, face, lips, or tongue

Question 12

Anaphylaxis S/S: Stomach and Digestion

• abdominal pain
• nausea, vomiting
• diarrhea

Answer 12

abdominal pain
nausea vomiting
diarrhea

Question 13

IgE

• reactions are mediated by antigen-specific IgE and the products of tissue mast cells

Answer 13

reactions are mediated by antigen-specific IgE and the products of tissue mast cells

Question 14

Treatment for Anaphylaxis

Answer 14

First line - EPINEPHRINE
Benadryl

Question 15

Epi-pen

• light sensitive, keep in storage tube
• administer in thigh
• VERY EXPENSIVE

Answer 15

light sensitive, keep in storage tube
administer in thigh
VERY EXPENSIVE

Question 16

Epinephrine Action

• adrenergic response

Route
- SQ
- IM
- IV

Answer 16

SQ:
- onset 5-10 mins, peak 20 mins, duration 1 - 4 hrs

IM
- onset 6-12 mins, peak unknown, duration 1- 4 hrs

IV
- onset rapid, peak 20 mins, duration 20 - 30 mins

Question 17

Benadryl Action

• antagonizes the effects of histamine at the receptor site

Route
- SQ
- IM
- IV

Answer 17

SQ
- onset 15 - 60 mins, peak 2 - 4 hrs, duration 4 - 8 hrs

IM
- onset 20 - 30 mins, peak 2 - 4 hrs, duration 4 - 8 hrs

IV
- rapid onset, peak unknown, duration 4- 8 hrs

Question 18

Benadryl for Anaphylactic Reaction

PO: 25-50 mg every 4-6 hrs, not to exceed 300 mg/ day
IM, IV: 25-50 mg every 4 hrs, not to exceed 400 mg/ day

Answer 18

PO: 25-50 mg every 4-6 hrs, not to exceed 300 mg/ day
IM, IV: 25-50 mg every 4 hrs, not to exceed 400 mg/ day